| Name: | LIFESPAN PHARMACY LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Jan 2013 (12 years ago) |
| Identification Number: | 000795620 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 593 EDDY STREET DAVOL BUILDING, PROVIDENCE, RI, 02903, USA |
| Purpose: | LICENSED RETAIL PHARMACIES |
| NAICS: | 446110 - Pharmacies and Drug Stores |
| Fictitious names: |
Brown University Health Pharmacy (trading name, 2024-08-15 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124867569 | 2024-05-24 | 2024-09-24 | 117 ELLENFIELD ST STE 101, PROVIDENCE, RI, 029054541, US | 117 CHAPMAN ST STE 200, PROVIDENCE, RI, 029055400, US | |||||||||||||||||||
|
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| Phone | +1 401-444-6779 |
| Fax | 4014446912 |
| Phone | +1 401-444-9909 |
| Fax | 4014444095 |
Authorized person
| Name | EVA GREENWOOD |
| Role | SVP, FINANCE |
| Phone | 4014447914 |
Taxonomy
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAUL J. ADLER | Agent | 245 CHAPMAN STREET SUITE 200, PROVIDENCE, RI, 02905, USA |
| Number | Name | File Date |
|---|---|---|
| 202458852240 | Fictitious Business Name Statement | 2024-08-15 |
| 202448943950 | Annual Report | 2024-03-14 |
| 202332361330 | Annual Report | 2023-04-05 |
| 202214025200 | Annual Report | 2022-03-28 |
| 202104388750 | Annual Report | 2021-10-29 |
| 202104403840 | Annual Report | 2021-10-29 |
| 202066296740 | Annual Report | 2020-10-15 |
| 201928160720 | Annual Report | 2019-11-22 |
| 201988697660 | Statement of Change of Registered/Resident Agent | 2019-03-15 |
| 201983862630 | Annual Report | 2019-01-07 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
